Accident Detail Receipt
Date And Time 27-Jun-2018 / 10:00 am
Place of Accident MUMBAI AGRA HIGHWAy IN FRONT OF SAIKISAN HOTEL NAGAONBARI DHULE
CR NO/ TAR No/ SDE NO CR NO 83/2018 IPC 279,337,427, M V ACT 184
Name of the Injured/ Deceased KAILAS TULSIRAM DHOLE R/S DEOPUR DHULE
Name of The Hospital to which he/she was removed HIRE MEDICAL COLLEGE DHULE
Number of vehicle and type of the vehicle GOVT VEHICAL NO. MH-18-BC-1339 & AMBULANCE No. MH-18-AA-4264
Name of address of driver of the vehicle with perticuler ordriving license of the said driver and the address of the issuing Authority of the said driver license. The number of badge in case of public service vehicle and the address of the issuing Authority of the said badge. MADHAV ASHOK SISODE R/S NARDANA DIST DHULE
Name of the owner of the vehicle as it stand on the date of the accident NILL
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. NILL
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate NILL
Action Taken if any, and the result thereof. CR NO 83/2018 IPC 279,337,427 M V ACT 427
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